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style=\"line-height:200%;background:white\"><strong><span style=\"font-size:16px;line-height:200%;font-family: 宋体;color:#333333;letter-spacing:0\">有些高血压病人血压一直降不下来，那么血压降不下来什么原因导致，应该检查什么？建议血压一直降不下来的朋友，首先问问自己以下问题：</span></strong></p><p style=\"line-height:200%;background:white\"><span style=\"font-size:16px;line-height:200%;font-family:宋体;color:#333333;letter-spacing:0\">&nbsp;</span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">1</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你控制食盐摄入了吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">吃盐太多（包括咸菜、酱菜、酱油、味精、咸鸭蛋等腌制食品）会明显升高血压。吃饭菜太咸的人，把每天的食盐摄入量控制在6克以内可以使血压下降2-8mmHg。所以患高血压的人一定要少吃盐，否则药物降压效果会打折扣。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1554969399466.jpg\" title=\"血压降不下来什么原因，应该检查什么\" alt=\"血压降不下来什么原因，应该检查什么\" width=\"600\" height=\"400\"/></span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">2</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你胖吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">肥胖是引起高血压的重要因素。明显肥胖的人，减轻体重可以使血压降低5-20mmHg。要想好好控制后血压，不减重是不行的！一些体型肥胖的轻中度高血压患者，体重明显减轻后，血压完全可以恢复正常，甚至可以很多年不用吃降压药；也有一些严重高血压病人，原来需要两三种药才能控制血压，减轻体重后只用一种药就可以把血压控制得很好。</span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">3</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你规律性运动吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">规律性运动不仅有助于减轻体重，还可以降低血压。养成每天户外运动的习惯，可以使血压降低4-9mmHg。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1554969585752.jpg\" title=\"血压降不下来什么原因，应该检查什么\" alt=\"血压降不下来什么原因，应该检查什么\" width=\"600\" height=\"450\"/></span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">4</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你的食量大吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">饮食摄入量太多、特别是吃肥肉、动物内脏、细粮、油太多，会导致热量过剩并升高血压。合理膳食、多吃蔬菜水果可使血压降低8-14mmHg。</span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">5</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你经常喝大酒吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">经常大量喝酒可以升高血压，戒酒后血压可以下降2-4mmHg。一边吃降压药、一边大碗喝酒显然是不妥的。</span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">6</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你的生活规律吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">作息时间不规律、睡眠不足、精神紧张会使血压升高，不纠正这些因素，会使血压难以控制。</span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">7</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你的降压方案是医生制定的吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">降压药物的选择有很多学问，不能见别人吃什么药自己就吃什么药，更不能听信虚假广告吃那些不靠谱的保健品或药品。只有在医生指导下正规治疗才能满意控制血压。</span></p><p style=\"line-height: 200%\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">8</span></strong><strong><span style=\"font-size: 16px;line-height:200%;font-family:宋体\">你坚持每天吃药吗？</span></strong><span style=\"font-size:16px;line-height:200%;font-family:宋体\">医生为你开药后要每天服药，不能三天打鱼两天晒网。不按要求规律性服药，血压很难满意控制。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:16px;line-height:200%;font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1554969834993.jpg\" title=\"血压降不下来什么原因，应该检查什么\" alt=\"血压降不下来什么原因，应该检查什么\" width=\"600\" height=\"399\"/></span></p><p style=\"margin-top: 14px;line-height: 200%;background: rgb(250, 250, 250)\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体;color:#6B4D40\">如果上述8项没有做到，请立即纠正。若上述各项均做到了，血压仍然控制不好，请找医生去调整方案。</span></strong></p><p style=\"margin-top: 14px;line-height: 200%;background: rgb(250, 250, 250)\"></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\"><img src=\"http://01luntan.com/ly_img/uimgs/1554960210667.jpg\" title=\"血压降不下来什么原因，应该检查什么\" alt=\"血压降不下来什么原因，应该检查什么\" width=\"250\" height=\"343\"/></span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; line-height: 38px;\">欢迎扫描二维码加入</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: &quot;Microsoft YaHei&quot;; line-height: 38px;\">QQ</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; line-height: 38px;\">群，听听病友们怎么说，听听医生怎么说</span></span></p><p style=\"margin-top: 14px;line-height: 200%;background: rgb(250, 250, 250)\"><strong><span style=\"font-size:16px;line-height:200%;font-family:宋体;color:#6B4D40\"><br/></span></strong><br/></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":31},{"id":"27061","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压患者日常饮食","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">在丁荣晶教授《心肌梗死与心肌康复》读者交流群里</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，有高血压病人问过，</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">高血压患者日常饮食</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">怎么做？</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">高血压患者的饮食该注意什么问题</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？找良医网在本文中为您解答这个问题！</span></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1569401004948.JPG\" title=\"高血压患者日常饮食\" alt=\"高血压患者日常饮食\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">高血压患者饮食要少盐少油，营养均衡，您可以按照以下标准来安排自己的饮食：每天的食盐量不超过</span>6克；每日食油小于25克；瘦肉类每日50~100克；奶类每日250克，蛋类每周3~4个；鱼类每周3次左右；新鲜蔬菜每日400~500克，水果100克；少吃或不吃糖类和甜食。</span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1569400980570.jpg\" title=\"高血压患者日常饮食\" alt=\"高血压患者日常饮食\" width=\"219\" height=\"300\"/>&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">欢迎扫描二维码加入</span>QQ群，听听病友们怎么说，听听医生怎么说！</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":32},{"id":"25422","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"吃了降压药能喂奶吗","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">许多高血压妈妈都在担心一件事，那就是吃了降压药能喂奶吗？</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1556550701662.png\" title=\"吃了降压药能喂奶吗\" alt=\"吃了降压药能喂奶吗\" width=\"676\" height=\"468\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">对于伴有高血压的哺乳期妇女，选择降压药物时需考虑到多种因素，如降压效果、是否从乳汁排泌、降压药物对婴儿的影响以及是否会抑制泌乳等。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">现有研究显示，几乎所有降压药物均会从乳汁排泌，但排泌量有所差异。因此，轻度高血压（&lt;160/100 mmHg）患者可以暂不用药物治疗，在密切观察下哺乳数月，随后根据血压情况恢复降压药物治疗并停止哺乳。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">对于血压中重度升高（≥160/100 mmHg）而必须接受药物治疗的哺乳期妇女，建议首选甲基多巴、肼苯哒嗪、普萘洛尔或拉贝洛尔，单药或联合治疗。上述药物疗效欠佳或存在禁忌证时，也可考虑应用美托洛尔、硝苯地平控释片、维拉帕米缓释片。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">利尿剂可减少泌乳量，不建议首选，特别是不宜长期大剂量使用。ACEI或ARB可能对婴儿肾脏发育产生不利影响，不宜选用。阿替洛尔、氯噻酮、可乐定、利血平可抑制乳汁分泌或对婴儿具有不利影响，也不宜用于哺乳期妇女。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1556551033545.jpg\" title=\"吃了降压药能喂奶吗\" alt=\"吃了降压药能喂奶吗\" width=\"250\" height=\"343\"/></span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"></span><span style=\"font-family: 宋体; font-size: 19px;\">欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说</span></p><p style=\"line-height: 200%;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"></span><br/></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":12},{"id":"17827","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压病人能吃砂糖橘吗","content":"<p style=\"text-indent:28px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">高血压病人能吃砂糖橘吗？</span></span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":31},{"id":"25816","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压心口刺痛,胸闷","content":"<p style=\"text-align:left;line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"></span></p><p style=\"text-align:left;line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">我妈妈，61岁，糖尿病十年高血压也五六年了，最近经常心口处刺痛，发作时要三四十分钟才会缓解，发作时间不定，在老家医院看过一次做了心电图和心超都看不出来什么大问题。有懂得吗？高血压心口刺痛,胸闷有因果关系吗？</span></p><p style=\"text-align:left;line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">今天把我妈接到我住的城市苏州来，打算带她在苏州的大医院检查，明天去医院。老家的医生说就症状来看不太像冠心病，要我们做CTA检查。我感觉我妈这症状应该还是心脏或心血管有问题。 </span></p><p style=\"text-align:left;line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"> </span><br/></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":31},{"id":"27831","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"动态血压监测是什么意思","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">在找良医网的高血压病友交流群内，有病人问过，</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">动态血压监测是什么意思</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？找良医网告诉你，动态血压监测是指患者佩戴血压监测的仪器，来记录</span> 24小时的血压，可以直观的看到一天的血压波动、血压高不高，以及什么时候高。</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1573202754023.jpg\" title=\"动态血压监测是什么意思\" alt=\"动态血压监测是什么意思\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">血压监测的仪器由一个小盒子加一个血压测量袖带组成，袖带待在上臂，小盒子装在身上，一般是白天</span>15~20分钟测量一次，夜间30分钟测量一次。</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">动态血压监测可用于高血压诊断，以及指导降压治疗。以下情况可考虑使用</span>24小时血压监测：</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">（</span>1）对于在医院或在家测血压，怀疑有高血压，可以用动态血压监测评估；</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">（</span>2）没有高血压，但发现高血压靶器官损害，如蛋白尿、脑梗塞、左室肥厚等，可以评估动态血压；</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">（</span>3）需要评价药物治疗效果，以及怀疑白大衣高血压者。 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1573202467908.jpg\" title=\"动态血压监测是什么意思\" alt=\"动态血压监测是什么意思\" width=\"219\" height=\"300\"/></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">欢迎扫描二维码加入</span>QQ群，听听病友们怎么说，听听医生怎么说！</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":31},{"id":"25166","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"如何选择降压药最好","content":"<p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><strong><span style=\"font-size: 19px;line-height: 200%;font-family: 宋体;letter-spacing: 1px\">常有人问道：我舒张压（低压）高，吃什么药？我收缩压（高压）高，吃什么药？如何选择降压药最好？结合现行国内外高血压指南，我谈谈自己的看法：</span></strong></p><p style=\"margin-bottom: 0px; text-align: center; line-height: 200%; background: white;\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1554886371452.jpg\" title=\"如何选择降压药最好\" alt=\"如何选择降压药最好\" width=\"694\" height=\"465\"/></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">目前临床常用的降压药物主要有5大类，即利尿剂（如氢氯噻嗪、吲达帕胺）、钙通道阻滞剂（地平类）、血管紧张素转换酶抑制剂(普利类)、血管紧张素受体阻滞剂（沙坦类)、β受体阻滞剂（洛尔类）。严格的讲，这5类药物对于收缩压、舒张压均有降低作用，没有专门用于降低收缩压或舒张压的降压药物。在现有的随机化临床试验中，也无充分证据支持某种药物在降低收缩压（或舒张压）方面有更多的优势。然而在临床上经常遇到一些仅表现为舒张压增高或收缩压增高的患者，应该如何选择药物？</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">对于这一问题，现行的美国、欧洲、加拿大、日本以及中国等指南性文件均未明确表述。但认真分析各指南的推荐建议，仍然可以得到一些启示。单纯收缩压增高主要见于老年患者，而单纯舒张压增高常见于中青年患者。对于不同年龄阶段高血压患者的降压药物选择，相关指南中有所描述。</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">中国高血压防治指南提到：对于舒张压&lt;60mmHg的老年单纯收缩期高血压患者，若收缩压&lt;150 mmHg可不用药；如收缩压150-179 mmHg，谨慎小剂量用药；如收缩压≥l80 mmHg，则小剂量用药，此时可选择小剂量利尿剂、地平类、普利类或沙坦类，未推荐使用β受体阻滞剂（洛尔类）。</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">2013</span><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">年加拿大高血压指南认为：所有高血压患者均可考虑选用利尿剂、地平类、普利类或沙坦类。60岁以下的患者（常伴舒张压增高）也可选择β受体阻滞剂（洛尔类）。单纯性收缩压增高者首先选用利尿剂、地平类或沙坦类。</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">由此可见，无论舒张压和（或）收缩压增高，利尿剂、地平类、普利类或沙坦类均可考虑选用。对于以舒张压增高更为常见的年轻高血压患者，可优先考虑选用沙坦类或普利类；若年轻患者伴有交感张力增高表现（如心率快）且有心悸等不适症状，也可考虑选用β受体阻滞剂（洛尔类），但需注意其对男性性功能的影响。对于收缩压增高更为常见的老年高血压患者，地平类或利尿剂可能更适于作为首选药物。</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">需要强调的是，无论收缩压增高还是舒张压增高，积极有效的生活方式干预均是必不可少的。对于单纯舒张压增高的中青年患者尤为如此。很多年轻高血压患者常伴有肥胖、酗酒、精神紧张等，限酒、减重是降低舒张压的有效措施。若整天大碗喝酒、大块吃肉、睡眠不足、不肯运动，什么药也不会有好的效果。</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:1px\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;font-family: 宋体;letter-spacing: 1px\">【关于老年人高血压】</span></span></strong><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\">单纯收缩期高血压是老年高血压患者最为常见的表型，表现为收缩压增高、舒张压正常甚至偏低。对于此类患者，在降压治疗时既要注意<strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-family:宋体\">控制过高的收缩压，又要避免舒张压过度降低</span></strong>。所以要根据患者具体情况确定个体化的治疗方法。如下图：（图中ISH代表单纯收缩期高血压，即收缩压增高、舒张压正常或者偏低；SBP代表收缩压，即高压；DBP代表舒张压，即低压；CCB代表地平类，ACEI代表普利类，ARB代表沙坦类）</span></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 1px\"></span></span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\"><img src=\"http://01luntan.com/ly_img/uimgs/1554819267885.jpg\" title=\"如何选择降压药最好\" alt=\"如何选择降压药最好\" width=\"219\" height=\"300\"/></span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\"></span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\">欢迎扫描二维码加入</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px;\">QQ</span><span 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!important\"><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":31},{"id":"25750","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"为什么运动后血压会高","content":"<p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">听很多患者问过，</span></span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">为什么运动后血压会高</span></span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？或者说</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">运动后血压会高吗</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？答案是会的，</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">运动的当时，心率、呼吸加快，血压有一定程度的升高。运动时升高的血压在休息后可以很快恢复。</span></span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1560503349581.jpg\" title=\"为什么运动后血压会高\" alt=\"为什么运动后血压会高\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">你知道吗？</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">长期规律的适量运动可以降压，而且降低高血压患者死亡的风险。最好的运动方式是有氧运动。在降血压方面，中等强度有氧运动更有效、更安全。常见的有氧运动形式包括快走、慢跑、骑自行车、广场舞、登山、登楼梯等。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">正是因为运动时血压会升高，有高血压的人最好不要在早晨运动、把握好运动的度，并且要在血压控制好的前提下运动。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">早晨</span> 6~10 点血压常较高，是心肌梗死、脑卒中等严重心血管疾病的高发时段，所以，最好选择下午或傍晚进行锻炼。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">运动要量力而行，循序渐进。强度不宜过大，运动中的心率达到（</span>170－年龄）次/分钟为中等强度。如果血压控制不好，如超过180/110 mmHg时，不要从事中度及以上的运动。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">另外，尽量避免短跑、举重等短时间剧烈使用肌肉，或需要屏气一蹴而就的无氧运动，这类运动会使血压瞬间剧烈上升，引发危险。</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1560504083372.jpg\" title=\"为什么运动后血压会高\" alt=\"为什么运动后血压会高\" width=\"219\" height=\"300\"/></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">欢迎扫描二维码加入</span>QQ群，听听病友们怎么说，听听医生怎么说！</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":31}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"27044","isDel":0,"createAt":1569316921733,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"健康饮食能降压吗","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">在丁荣晶教授《心肌梗死与心肌康复》读者交流群里</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，有患者问过，</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">健康饮食能降压吗</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？找良医网告诉你，这个是有帮助的，我们一起往下看！</span></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1569317049044.jpg\" title=\"健康饮食能降压吗\" alt=\"健康饮食能降压吗\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">轻度高血压患者通过合理饮食，就有可能使血压下降；即使较严重的、已经在服药的高血压患者，也可通过饮食疗法降低血压，减少用药剂量和预防并发症。</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1569317645786.jpg\" title=\"健康饮食能降压吗\" alt=\"健康饮食能降压吗\" width=\"219\" height=\"300\"/></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span 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